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HomeMy WebLinkAbout6398 ~Location: Town Annex/First Floor, Capital One Bank 54375 Main Road (at Youngs Avenue) Southold, NY 11971 53095 Main Road P.O. Box 1179 Southold, NY 11971-0959 http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765.1809 Fax (631) 765-9064 COVER SHEET WITH ZBA FII STATUS OF FILE TaxMap#: /O0O--- loach- q-IX N e: £eb / , .;tx.fa. Location: ~ (,,©-O [X' ] Refund issued: CANNOT activate or reactivate file (Applicant has withdrawn application). [ ] NO ,REFUND DUE, based on time spent for Town to process application and hearings. [ ', I Obsolete & expired; CANNOT reactivate this file: NEW APPLICATION NECESSARY: Extensive time has passed; Zoning Code changes are now in effect and this application expired. NOTE: Applicant may apply for a new application with Building Inspector for a new Notice of Disapproval and submit NEW application with all documents and current maps.to ZBA, or modify plan to conform to the current code. This Town file based on appiicant's previous year requests has expired. [ ] No forms to be scanned; FILE # VOID: APPLICATION RETURNED. (All forms were returnedu to applicant early in process, as requested by applicant.) 06/21/2010 16:09 FAX 6312836136 EN-CONSULTANT$,INC, ENVIRONMENTAL CONSI, I LTING Leslie K. Weismaa, Cbairwon: an Board of Zoning Appeals Town of $outbold P.O. Box 113'9 Southold, NY 11971 ~ 001 1319 North Sea Road Southampton. New York 11968 631-283-6360 Fax: 631-283-6135 www. enconsultants.com Jtme 21, 2010 BO/fRO Or AppE,%s Re: Doroihy Farn,baeh Trust: e/o Arthur and,pa,u,I ?.arabsch and Susan Cebuhbi. ~ Ole Jule Lane. Dear Ms. Wdsman: Due to a chauge in personal circumstances, the Farnbach family has asked that I respeoffully request a withdrawal of their ~ submitted applk at'ion for variance relief wilhout prejudice, A refund of the submilted application fee of $600 would be appreciated. Thank you for your consideml: ion. Ceastal Management Specialist cc: Susan Cebulski TO: FORM NO. 3 NOTICE OF DISAPPROVAL Robert Herrmarm for S ~ebulski 1319 No. Sea Rd. Southampton, NY 11968 DATE: April 9, 2010 Amended: May 7, 2010 RECEIVE~D Please take notice that your application dated March 11, 2010 BOARD OF APPEALS For additions (including 2nd story) & alterations to an existing single family dwelling at Location of property 2600 Ole Jule La., Mattituck, NY County Tax Map No. 1000 - Section 122 Block 4 Lot 13 Is returned herewith and disapproved on the following grounds: The proposed second story & porch construction on this non-conforming 12,858 sq. ft, lot, is not permitted pursuant to Article XXIII Section 280-124 which states; "This section is intended to provide minimum standards for granting of a building permit for the principal buildings of lots which are recognized by the town under 280-9, are nonconforming & have not merged pursuant to 2.80-10." For lots less than 20,000 sq. fi., the required front yard setback is 35'. The proposed additions indicate a front yard setback of approximately 31 '. Additionally~ the required side yard setbacks are 10' & 25' combined. The proposed addition indicates a minimum setback of 8.9' and approx. 22.9 combined. In addition, the proposed addition is not permitted pursuant to Article XXII Section 280- 116 which states: "All buildings or structures located on lots upon which a bulkhead, ... and which are adjacent to tidal water bodies other than sounds shall be set back not less than 75 feet from the bulkhead." The proposed deck addition is indicated at 53' from the bulkhead. This Notice of Disapproval was written based on a survey by J. Ehlers updated 04- 06-10. · Authorized Signature FORM NO. 3 NOTICE OF DISAPPROVAL TO: Robert Herrmann for S Cebulski 1319 No. Sea Rd. Southampton, NY 11968 DATE: April 9, 2010 RECEIVED ~Y ? 2010 _ Please take notice that your application dated March 11, 2010 For an additions & alterations to an existing single family dwelling at Location of property 2600 Ole Jule La., Mattituck, NY County Tax Map No. 1000 - Section 122 Block 4 Lot 13 Is returned herewith and disapproved on the following grounds: The proposed second story & porch construction on this non-conforming 12,858 sq. ft. lot, is not permitted pursuant to Article XXIII Section 280-124 which states; "This section is intended to provide minimum standards for granting of a building permit for the principal buildings of lots which are recognized by the town under 280-9, are nonconforming & have not merged pursuant to 280-10." For lots less than 20,000 sq. ft., the required front yard setback is 35'. The proposed additions indicate a front yard setback of approximately 31 '. In addition, the proposed addition is not permitted pursuant to Article XXII Section 280- 116 which states: "All buildings or structures located on lots upon which a bulkhead, ... and which are adjacent to tidal water bodies other than sounds shall be set back not less than 75 feet from the bulkhead." The proposed deck addition is indicated at 53' from the bulkhead. This Notice of Disapproval was written based on a survey by J. Ehlers updated 04- 06-10. Authorized Signature DEPARTMENT OF PLANNING COUNTY OF SUFFOLK STEVE LEVY SUFFOLK COUNTY EXECUTIVE RECEZVED MAY 0 2010 BOARD OF APPEALS THOMAS A. ISLES, A.I.C.P DIRECTOR OF PLANNING May l4,2010 Town of Southold ZBA PO Box 1179 Southold, NY 11971 Att: Leslie K. Weisman, Chairman Dear Ms. Weisman: Pursuant to the requirements of Sections A 14-14 thru A 14-25 of the Suffolk County Administrative Code, the following applications submitted to the Suffolk County Planning Commission are to be a matter for local determination as there appears to be no significant county-wide or inter-community impact. A decision of local determination should not be construed as either an approval or disapproval. Applicants Municipal File Numbers T-Mobile Northeast LLC #6379 Sutton * #6385 Southold Free Library #6391 Harkoff #6392 McNamara #6393 Zupa #6394 Duran #6395 Maritime Day School #6395' Cebulski, Farnbaeh & Farnbach #6398 * The driveway and pedestrian easements should be separate and distinct in order to avoid potential conflicts. TRK:ds Very truly yours, Thomas A. Isles Director of Planning Theodore R. Klein Senior Planner LOCATION MAILING ADDRESS H. LEE DENNISON BLDG. - 4TH FLOOR P.O. BOX 6100 (631) 853-5191 100 VETERANS MEMORIAL HIGHWAY HAUPPAUGE, NY 11788-0099 TELECOPIER (631) 853-4044 SECTION D-D SCALE: 1/8" = 1'-0" I I I II I I Ii I I I II I I II ~: RECE:irViED l~A¥ 7 2010 BOARD OF APPEAL$ A-1 51TUATE.. HATTI'rUoK TOMN.. SUFFOLK OOUNTY, McDONALD O-EO~OIENOE 6-22-2OO-~ 0.5'[ OL 7 ~ARK tDROMN 5ANDY LOAM ~ BROMN 5IL~ ; 5M ~ ~AN~ FINE i ~ IN PALE I]' ~P 5EPTIO OESI~N BY FREDERIGK KEITH P.E. LIO. NO. Dqq.Eq D~INA~E CALCULATIONS, ROOF (DHELLIN&) DI~J_LIN& ROOF AREA 16OO S.F. I&O0 X 0.1~ X 1,0 = 2~2 O,F, 2~2 / 42.24 = 6.~ V,L.F. ~¢I~D ~OVl~E 4 ¢'~ DIA. X ~'-O" BE~ P~I~GE POOL5 ¢ V.L,F. ~OVIBED NOTES: o PiPE FOUND · IRON PIN FOUND AP. EA = 12~5~ 5F OR O.~2 5OUTHOLP TOI~N ZONE R 40 FLOOID ZONE ANNOTATED FROM FEI'IA MAP NUMBER ;~&IODC. O4~D2 ~ EXISTIN~ E4EPTIO TO BE REMOVEO AOOOt;24~IN6 TO 5.0.[:).H.S. STANI:)At;R~ PROPO~EO FOUR BEDROOM HO~SE TOPO F;~tEF. t)c~ NOVO '2q DATUM SEPTIC TANK TO BE D.2' ABOVE E, ROUND I^IATER LEEC. HIN(~ POOLS TO BE 5.2' ABOVE eEWX:~IND I~IATER ~RAPHIC SCALE I"= 20' .q 6 EAST MAIN STREET RIVERHEAD, N.Y. 11901 N.Y.S. L1C. NO. 50202 369-8288 Fax 369-8287 REF.-C:LDocumems and Settings\OwnerLMy DocumentsXMy Dropbox\03\03\03-267 PROPOSED REV. 10-29-09.pro LOT Office Notes: ~D.r'~-.-~~'l~'" ' ~ ' For Office Use Only Filed By- · Date Assigned/Assignment No. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS Parcel Location: House No.2600 Street OLE JULE LANE HamletMATTITUCK SCTM 1000 Section 122 Block 4 Lot(s). 13 Lot Size12,858 S.F. Zone DistrictR-40 1 (WE) APPEAL THE WRITTEN D]ETERMINATION OF THE BUILDING INSPECTOR DATED: 4-9-10 BASE~ONMAPDATED 4-6-10 Applicant(s)/Owner(s): SUSAN CEBULSKI, ARTHUR FARNBACH & PAUL FARNBACH Mailing Address:C/O SUSAN CEBULSKI, 2600 OLE JULE LANE, MATTTITUCK, NY 11952 Telephone: 631-298-4622 Fax: NOTE: In addition to the above, please completed below if applicant is signed by applicant's attorney, agent, architect, builder, contract vendee, elc. and name of person who agent represents: Name of Representative: EN-CONSULTANTS, lNG for (×) Owner, or ( ) Other: Agent's Address: 1319 NORTH SEA ROAD SOUTHAMPTON, NY 11968 Telephone: 631-283-6360 Fax:631-283-6136 Email: P, HEnRM^~q~ENCONSUI~T^NTS.COM Please check box to specify who you wish correspondence to be mailed to, from the above names: [] Applicant/Owner(s), or [] Authorized Representative, or [] Other Name/Address Below: WHEREBY THE BUILDING INSPECTOR REVIEWED MAP DATED 4-6-10 AN APPLICATION DATED: 3-10-10 FOR: [] Building Permit [] Certificate of Occupancy [] Pre-Certificate of Occupancy [] Change of Use [] Permit for As-Built Construction [] Other: and DENIED Provision of the Zoning Ordinance Appealed. Indicate Article, Section, Subsection and paragraph of Zoning Ordinance by numbers. Do not quote the code. Article XXll Section 280- 116 Subsection B Article XXlll Section 280- 124 Subsection B AND ANY OTHER RELIEF NECESSARY Type of Appeal. An Appeal is made for: [] A Variance to the Zoning Code or Zoning Map. [] A Variance due to lack of access required by New York Town Law-Section 280-A. [] Interpretation of the Town Code, Article Section [] Reversal or Other A prior appeal [] has [] has not been made at any time with respect to this property. UNDER Appeal No. Year . (Please be sure to research before completing this question or call our office for assistance). Susan Cebuls~, Paul Fambach Name of Owner: & Arthur Faml~ach REASONS FOR APPEAL (additional sheets may be used with preparer's sienature): AREA VARIANCE REASONS. (1) An undesirable change will not be produced in the CHARACTER of the neighborhood or a detriment to nearby properties if granted, because; SEE ATTACHED (2) The benefit sought by the applicant CANNOT be achieved by some method feasible for the applicant to pursue, other than an area variance, because: SEE ATTACHED (3) The amount of relief requested is not substantial because: SEE ATTACHED (4) The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: SEE ATTACHED (5) Has the alleged difficulty been self-created? ( )Yes, or 00No. SEE ATTACHED Are there any Covenants and Restrictions concerning this land: [] No I-lYes (please furnish copy). This is the MINIMUM that is necessary and adequate, and at the same time preserve and protect the character of the neighborhood and the health, safety, and welfare of the community. Check this box ( ) IF A USE VARIANCE IS BEING REQUESTED, AND PLEAS~COMPLETE THE ATTACHED USE VARIANCE SHEET: (Please be sure to consult your anomey.) ~,) Signature o¥ A~pellant or Aut~Agent Sworn t '-efore me this "'2-cf/7"~- (Agent must submit written Authorization from Owner)  ROBERT E. HERRMANN COASTAL MANAGEMENT SPECIALIST RECEIVED MAY 7 2010 BOARD OF APPEALS RECEIVED The granting of the requested relief from §280-116(B) for the proposed~st~ APPEALS addition to the existing one-story dwelling will not cause a change to the character of the community, which is characterized by numerous two-story dwellings located as close or closer to bulkheads and other shoreline structures located along the adjacent dredged canal. Although relief is requested to extend a deck closer to the bulkhead (_+53') than the existing dwelling (+65'), the deck would be constructed in place of and within the same footprint as the existing concrete patio. Therefore, with respect to setbacks from the bulkhead to structures, the relief will not alter the character of the subject parcel. With respect to the project's impacts on neighboring properties, the subject dwelling is and will continue to be set back slightly farther from the bulkhead and canal than the adjacent dwellings, and the dwelling will not encroach any closer to the neighboring parcels. Therefore, the project will also not negatively impact the adjacent properties. Although a maximum of 4 feet of from-yard setback relief is required pursuant to §280- 124(B) for the proposed additions and alterations, the proposed fascia addition would extend 13 feet of the front of the dwelling only 12 inches closer (31') to the road than the existing dwelling (32'), and the proposed front porch would be located one foot farther from the road (33') than the existing dwelling. These additions would therefore not cause any significant change to the character of the property or community nor adversely impact the neighboring parcels. The existing dwelling currently provides three bedrooms; a small, outdated kitchen; and minimal storage for a couple, two children, and the children's grandmother. The proposed additions, which would add a fourth bedroom, a larger and modernized kitchen, and adequate storage space, could not be located anywhere on the property that would not require relief from Chapter 280 due to the preexisting location of the dwelling, the presence of the existing bulkhead, and the size and configuration of the 12,858 square- foot, undersized parcel. Providing the increased living space by expanding the footprint of the dwelling rather than adding a second story would require significantly more relief and would be more likely to impact adjoining parcels. Therefore, the proposed design seeks the minimum relief necessary to provide for the needs of the applicants' family. The relief requested from §280-116(B) is mathematically substantial (22 feet or _+29% relief) but not substantial in fact because the upper story addition will be located no closer to the bulkhead than the existing dwelling. And although the proposed deck introduces structural area regulated by Chapter 280 closer to the bulkhead than what currently exists (53' versus +65'), the deck will be located within the same footprint and have the same bulkhead setback as the existing masonry patio. The 4 feet or _+11 percent of front-yard relief requested from §280-124 is neither substantial mathematically nor substantial in fact because the proposed fascia addition will situate the southwest comer of the dwelling only 12 inches closer to the road than the existing house comer and the front porch will actually be set back slightly farther (-+33') from the road than the comer of the existing dwelling (+32'), requiring only 2 feet of relief. With respect to the physical and environmental conditions of the property and surrounding neighborhood, the project will not create any significant change to the developed nature of the property, and as a result of the incorporated mitigation measures, there will be a net improvement to the ecological condition of the site and adjacent waterway. Specifically, the structural areas on the property will not be constructed any closer to the bulkhead than what currently exists and lot coverage by impervious surfaces will actually decrease by approximately 13 square feet as a result of the removal ora 213 square-foot concrete pad located +34' from the bulkhead. Moreover, constructing a wood deck in place of the existing masonry patio adjacent to the house will provide a less impervious surface over the same area. A drainage system of leaders, gutters, and drywells will also be added to the property to capture and recharge roof rtmoff, thus serving to further reduce the volume of surface runoff. Representing the most substantial improvement to the property will be the removal of a nonconforming sanitary system located less than 30 feet from the bulkhead and installation of an upgraded sanitary located more than 100 feet from the bulkhead, which will result in an improvement to both groundwater and surface water quality. An existing 10-foot wide, +830 square-foot nonturf buffer will be maintained behind the bulkhead, and the project has been approved pursuant to both State and Town Wetlands Laws, as evidenced by the attached permits issued by the Board of Town Trustees and New York State Department of Environmental Conservation. The difficulty with locating the proposed expansion without necessitating variance relief is not self-created due to the nonconforming location of the existing dwelling. BOARD OF APPEALS APPLICANT'S PROJECT DESCRIPTION (For Z[IA Reference) Applicant: sus^N CEBLrLSKI, PAUL FARNBACH & .ARTHUR FARNBACH Date Prepared: 4/29/10 I. For Demolition of Existing Building Areas Please describe areas being removed: 1) +/-11' × +/-20' concrete pad in rear yard is to be removed; and 2) existing wood deck, steps, and concrete patio attached to rear of house is to be removed and replaced with wood deck in same footprint as concrete patio. II. New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extension: 2' x 15.8' (rear); 1' x l Y (front fascia); 4' x 18' (front porch) Dimensions of new second floor: 1,141 s.E Dimensions of floor above second level: 2' - 5' high attach for storage (+/-800 s.f.) Height (from finished ground to top of ridge): 27.5' Is basement or lowest floor area being constructed? If yes, please provide height (above ground) measured from natural existing grade to first floor: N/A III. Proposed Alterations or Interior Structural Changes without enlargement/extension (attach extra sheet if necessary) - Please describe building areas: Number of Floors and General Characteristics BEFORE Alterations: One-story, 3-bedroom house with attached garage, wood deck, and masonry patio. Number of Floors and Changes WITH Alterations: Two-story, 4-bedroom dwelling with attached garage, wood deck and covered porch. IV. Calculations of building areas and lot coverage (from surveyor): Existing square footage of buildings on your property: 1,514 S.F. Proposed increase of building coverage: 412 S.F. Square footage of your lot: 11,558 S.F. (buildable land) Percentage of coverage of your lot by building area: 16.8% V. Purpose of New Construction Requested: To enlarge living space and to create an additional bedroom, a working kitchen and storage space. VI. Please describe the land contours (flat, slope %, etc.) as exist and how it relates to the difficulty in meeting the code requirement(s): The elevation of the land decreases gradually from the road to the bulkhead (+/-5-foot change in elevation over 155 feet) and is unrelated to the relief requested. Please submit seven (7) photos, labeled to show all yard areas of proposed construction after staking corners for new construction), or photos of existing building area to be altered (area ,. of requested changes). PHOTOS INCLUDED. R~-{~I\]~D ~' 7/2002; 2/2005; 1/2007 ~/~,( ,/ ?_[~lB~'J~ BOARD OF AppEALS QUESTIONNAIRE RECEIYED FOR FILING WITH YOUR Z.B.A. APPLICATION Is the subject premises listed on the real estate market for sale? [3Yes IgNo Are there any proposals to change or alter land contours? I~ No [] Yes, please explain on attached sheet. BOARD OF APPEALS 1) Are there any areas that contain sand or wetland grasses? YES 2) Are these areas shown on the map submitted with this application?YES 3) Is the property bulkheaded between the wetlands area and the upland building area.'? YES 4) If your property contains wetlands or pond areas, have you contacted the office of the Town Trustees for its determination of jurisdiction?YES Please confirm status of your inquiry or application with the Trustees:WETLANDS PERMIT NO. 7158 ISSUED AUGUST 19, 2009 and if issued, please attach copies of permit with conditions and approved map. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? NO Are there any patios, concrete barriers, bulkheads or fences that exist and are not shown on the survey map that you are submitting?NO (Please show area of these structures on a diagram if any exist. Or state "none" on the above line, if applicable.) Do you have any construction taking place at this time concerning your premises? NO If yes, please submit a copy of your building permit and map as approved by the Building Department and describe: G. Do you or any co-owner also own other land close to this parcel?NO the proximity of your lands on your map with this application. Ifyes, please label H. Please list present use or operations conducted at this parcel One-story, one-family dwelling with attached garage, and proposed use two-story, one-fanCily dwelling with attached garage - tex~ing: single-family; proposed: same with garage or pool, or other description.) Authorizdd'-S~nature and Date ' / t :z/os; ~/o7 ROBERT E. HERRMANN COASTAL MANAGEMENT SPECIALIST APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM this form is to ~rox ide inlb~ation which can aleu the fowl1 of possible conflicls of interest and allow it to t~e wbatever action j~ (Last name, tim name. middle initial unless ~rou a~ applying in the name of NAME OP APPLICATION: (Check all that apply.) Tax gr~ex ance Building Cb~ge of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other {lf"Otber". namc thc activin' ) I)o you pc~onaily (or tbmugh your company, spouse, sibling, parent, or child) have a relationship with any officer or employee {~t'tbe ['own of Soulhold? "Relationship" includes by blood mflrriagc r b s ness interest. "Bus ess nterest" mem,s a bus ness including a paanersbip, in ~hich the town officer or emplovu~bas cvcn a partial o~mmrsbip of(or emplo~ mere by) a co.ration m whmh the tox;m officer or employee owns more than 5°/~lhe shares. ' ' I f.~ou answered "YES". complete the balance of this form and date and sign where iadicated. Name of person employed by the Town of Southold Title or position of that person Descri~ the relationship ~tween you~elf(the applieanl/agen~repmscntatix c) m~d the to~ officer or employee, Eitber check the appropriate line A) through D) ancot descri~ in the space pro;ided. The town officer or employee or his or her spouse~ sibling, parenL or cbild is {check all that apply): RECEIVED {when the applicant is a coercion); B) the legal or ~neficial owner of~y interesl in a non-coworate entit3 (when the ~ ~ Z~ 1~ applicant is not a co.ration); .... C) an tHt~ccr, director, pa~ner, or employee of Ibc applicant: or _____D) the actual applicant. BOARD OF APPEALS DESCRIPTION OF RELA'HONSHIP Form TS 1 APPLICANT/AG E N'IZ/REPRE SENTAT]r E TRANSACTIONAL DISCLOSURE FORLVI n~ces~arv lo avoid (La~ ~rte, fir~ na~, middl~ htitial, unt~s~ yau are applying in ttt¢ am~ or NAME, OF APPLICATION: (Ch~ck all that apply,) iuclud[ng a i]artn=rship, in wNch th~ towrt officer or ~mployee has cvmt a partial ow~¢rahip of(or ~mploym~n; by) a ~orp~radon Y~S NO ~ If you anthem'ed "YES", ~mplet¢ th~ bml~c~ ofthi~ ti~rrn m~d d;tt~ ~,d ~ig~l wh~ indicted. Name ofp=rson ~mploy~d by the Towa o~Suu~hold ~ The lown oil%re' or omploy*e m ~is or i~m. ;pou;~, ~ibling, parCm, or child b (~h=~k all l[lal apply): A) th= owner of ~atrr titan ~% of tM sh~¢~ or fha ~orpoa~ ~to~k of th~ applic~t (wh~ ;b~ applicant i~ a ~rporati~n); ~B) tlt~ t~gal or ~m~fi~tat o~¢r of~y int~rcsl in a non-coiffure entity (when the RECEIVED DESCIC. IPTION OF RELATIONSkfIP BOARD OF APPEALS Form TS I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Thc Town of Southold's Code oPEthics prohibits conflicts of hlterest on the pml of town officers and employees The oumose of' ii,is form is to erovide information which can alert the lown ~f possible conflicts of interest and allow it to take whatever action is necessary to avoid same. (~ast nsme~ first name, mld~le initial, unless you are applying in the name of someone else or other enti~, sueb as a company. ]f so~ ~ndicate tbe other person~s or company's NAME OF ,APPLICATION: (Check all that apply) Tax grievance Building Variance v/''- Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Otber (If"Other", name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of dte Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interesf' means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO J' IFyou answered "YES", complete the balance of this form and date and sign where indicated Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(tim applicant/agent/represemative) and t~e own officer or employee Either check the appropriate line A) through D) and/or describe in the space provided Tine town officer m' employee or his or her spouse, sibling, parent, or child is (check all that apply): __.Al the owner of greater tban 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); __ B) tbe legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or __~D) the actual applicant RECEIVED MAY 7 ZO O DESCRIPTION OF RELATIONSHIP BOARD OF APPEALS Form TS I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Thc Town of Sonthold's Code of Ethics orohibits conflicts of interest on the hart of town officers and emolovees. The vuroose of this form is to provide information which can alert the town of tmssible conflicts of interest and allow it to take whatever action is necessary to avoid same. (Last name, first nmne, middle initial, unless you are applying in-the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance ~ Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (l£"Other', name the activity.) 7 BOARD OF APPEALS Do you personally (or through your company~ spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the tova~ officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns mom than 5% of the shares. YES NO ~ If you answered "YES", c. omple~ the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applieanffagent/representative) aed the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): __.A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non.corporate entity (when the applicant is not a corpomtlon); ___C) an officer, director, pa~ner, or employee of the applicant; or ___D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Submitted this Signature Print Name AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUTHOLD WHEN TO USE THIS FORkt. The form must be completed by the applicant for any special use permit, site plan approval, use variance, or subdivision approval on property within an agricultural district OR within 500feet of a farm operation located in agricultural district. All applications requiring an agricultural data statement must be referred to the Suffolk County Department of Planning in accordance with Sections 239- m and 239-n of the General Municipal Law. 1) Name of Applicant: EN-CONSULTANTS, INC. 2) Address of Applicant: 1319 NORTH SEA ROAD, SOUTHAMPTON, NY 11968 3) Name of Land Owner (if other than applicant) SUS^N CEBOLSK~, P^UL F^RNn^CH & ^RTHOR F^R~^C~ 4) Address of Land Owner: c/o SUSAN CEBULSKI, 2600 OLE JULE LANE, MATTTITUCK, NY 11952 5) Description of Proposed Project: CONSTRUCTION OF ADDITIONS & RENOVATIONS TO EXISTING SINGLE-FAMILY DWELLING. 6) Location of Property (road and tax map number):e6oo OLD JULE LANE, MATTITUCK, SCTM #1000-122-4-13 7) IS the parcel within an agricultural district? [~No [] Yes If yes, Agricultural District Number 8) Is this parcel actively farmed? [~No I-lYes 9) Name and address of any owner(s) of land within the agricultural district containing active farm operation(s) located 500 feet of the boundary of the proposed project. (Information may be available through the Town Assessors Office, Town Hall location (765-1937) or from any public computer at the Town Hall locations by viewing the parcel numbers on the Town of Southold Real Property Tax System. Name and Address (Please use back side of page if more than six property owners are identified.) The lot numbers roay be obtained, in advance, when requested from either the Office 765-1938 or the~oning Board of Appeals at 765-1809. of the Planning Board at Signa'tur-~of Applicant Date -- 1. The local board will solicit comments from the owners of land identified above in order to consider the effect of the proposed action on their farm operation. Solicitation will be made by supplying a copy of this slatcment. 2. Comments returned to the local board will be taken into consideration as part of the overall review of this application. 3. Copies of the completed Agricultural Data Statement shall be sent by applicant and/or the clerk of the board to the property owners identified above. The cost for mailing shall be paid by the applicant at the time the application is submitted for review. Failure to pay at such time means the application is not complete and cannot be acted upon by the board. RECEIVED I~AY 7 ~i~ 1-14-09 BOARD OF APPEALS EN.CONSULTANTS, INC. 1319 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 www. enconsultants.com ENVIRONMENTAL CONSULTANTS TO WHOM IT MAY CONCERN: This letter will authorize En-Consultants, Inc. to represent me and act on my behalf with regard to environmental matters and/or permits. / Signature Print Signature Print MAY ? ~l]i~ Dated: BOARD OF APPEALS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork, net/Southold/ Examined ,20.__ Approved __,20 Disapproved a/c /~ Expiration ~20 PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Board of Health 4 sets of Building Plans Planning Board approval Survey. Check Septic Form N.Y.S.D.E.C. Tmstees Contact: Mail to: Phone: Building Inspector APPLICATION FOR BUILDING PERMIT Date MARCH 10 ,20 10 INSTRUCTIONS ~ completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 tie. Fee according, to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months atter the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereatler, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Del~artment for the issuance of a Bull ding Permit pursuant to the Building Zone Ordinance of the Town of Southold. Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. EN-CONSULTANTS, INC. (Signature of applicant or name, if a corporation) 1319 NORTH SEA ROAD, SOUTHAMPTON, NY 11968 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder AGENT Name of owner of premises SUSAN CEBULSKI, PAUL FARNBACH, ARTHUR FARNBACH (As on the tax roll or latest deed) .If app~nt is~orplor]~fi.on, signature of duly authorized officer ~ ~'~ t~, ~t~ ROY L. HAJE, PRESIDENT (Na~ne and/title ~ com. orate officer) Builders LicenseNo. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 2600 OLE JULE LANE MATTITUCK House Number Street County Tax Map No. 1000 Section Subdivision (Name) 122 Hamlet Block 4 Filed Map No. Lot 13 Lot 2. State existing use and occupancy of premises and intended ~e and occupancy of proposed construction: a. Existing use and occupancy Residential, 3-bedro°m, single-family dwelling with attached garage. b. Intended use and occupancy Residential, 4-bedroom, single-family dwelling with attached garage & deck. 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost $185,000 Fee 5. If dwelling, number of dwelling units 1 If garage, number of cars Addition X Alteration Other Work attached deck (Description) (To be paid on filing this application) Number of dwelling units on each floor N/A 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. N/A 7. Dimensions of existing structures, if any: Front 57.5' Height 16.5' Number of Stories Rear 57.4' .Depth 28.4' Dimensions of same structure with alterations or additions: Front 57.5' DeptH. 28.4' Height. 27.5' Number of Stories 2 Rear 57.4 ' 8. Dimensions of entire new construction: Front Rear Height Number of Stories 9. Size of lot: Front 100' Rear 85' Depth 155' 10. DateofPurchase 12/25/97 Name of Former Owner Dorothy Farnbach Depth 11. Zone or use district in which premises are situated R-40 12. Does proposed construction violate any zoning law, ordinance or regulation? YES X NO__ 13. Will lot be re-graded? YES__ NO X Will excess fill be removed from premises? YES __ NO__ Susan Cebulski, Paul Fambach & 2600 Ole Jule Lane 14. Nanl~of(~ofl~sesArthurFambach ~ktll~s~Mattituck, NY 11952 ][IxxleNo. 631-298-4622 Name of Amhitect A..~ldress .Hxre Nb Nan~ of Contractor Address Ptxa~ No. 15a. Isthispmpertywithinl00feetofatidalwetlandorafreshwaterwetland?*YES X NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Isthispropertywithin300feetofatidalwetland?*YES X NO * IF YES. D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? *YES * IF YES, PROVIDE A COPY. NOX STA~IE OF I~V YORK) SS. COUNTY OF SUFFOLK) ROBERT E. HERRMANN being duly swom, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the AGENT (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are tree to the best of his knowledge and belief, and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this 10TH_ /dayof. MARCH 2010 ~ J "~ Not~l-y Publie;~ Signat~of Applicant EN-CONSULTANTS, INC. ENVIRONMENTAL CONSULTING 1319 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 www. enconsultants.com April 29, 2010 Southold Town Zoning Board of Appeals Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971 Re: Susan Cebulski, Arthur Farubach & Paul Farnbach 2600 Ole Jule Lane, Mattituck SCTM #1000-122-4-13 Dear Board Members: Enclosed for review are a total of(8) separate sets of the following for your review: 4. 5. 6. 7. 8. 9. Notice of Disapproval from the Building Inspector. Zoning Board of Appeals application including; a. Questionnaire. b. Applicant's Project Description. c. Transactional Disclosure Form. d. Letter of Authorization. e. Agricultural Data Statement. Short Environmental Assessment Form; Property card; Survey; Construction plans; NYS DEC, Southold Trustees & Health Department approvals, and Photographs. Application fee of $600.00. Eight (8) copies of the LWRP Form submitted as part of the Town Trustees application and Consistency determination issued August 13, 2009. I trust this information shall allow you to process our request. Should any additional information be require )lease do not hesitate to contact our office. Sincen Robert Hen'mann Coastal Management Specialist /kBs Enc. 14A6-4 (9/95)--Text 12 PROJECT I.D. NUMBER 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT For UNLISTED ACTIONS Only PART I -- PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1 APPLICANT/SPONSOR:$HSAN CEBULSK], PAUL 2. PROJECT NAME FARNBACH & ARTHUR FARNBACH BY EN-CONSULTANTS, INC. 3 PROJECT LOCATION: Municipality MATT]TUCK County SUFFOLK FORM SEQR 4 PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc, or provide map) 2600 Ole Jule Lane, MATTITUCK, TOWN OF SOUTHOLD, SCTM #1000-122-4-13 5. IS PROPOSED ACT [] New ~ Expansion [] Modification/alteration RECEIVED 6 DESCRIBE PROJECT BRIEFLY: BOARD OF APPEALS Sonstruct onto existing one-story, one-family dwelling a second-story addition over the existing fast story (to remain), a covered pomh md steps, a one-story fascia addition beneath the proposed second-story, and a 2' x +/-16' one-story addition; construct +/-t3' x 28' wood fleck and 5.5' x 8' steps in place of existing concrete patio, wood deck, and steps to be removed; remove existing sanitary system and install relocated, upgraded sanitary system; and install a drainage system of drywells and public water service, all as depicted on the site >lan prepared by John C. Ehlers Land Surveyor, last dated April 6, 2010. 7. AM(XJNT O~ ~ AFFEL. i ~L~ Initially 0.3 acres Ultimately 0.3 aores 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [~Yes [] No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? [] Residential [] Industrial [] Commercial [] Agriculture [] Park Forest/Open space [] Other t O. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? [] Y e s [] N o If yes, list agency(s) and permit/approvals NYS DEC, SOUTHOLD TRUSTEES, SUFFOLK COUNTY DEPARTMENT OF HEALTH SERV1CES 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ]Yes [] NO If yes. list agency name and permit/approval NYS DEC #1-4738-03291/00002 SOUTHOLD TRUSTEES #7158, SUFFOLK COUNTY DEPT. OF HEALTH #R 10-09-0046 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? []Yes []N o I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ~,pplicant/sponsor name RO/j~RTE. HERRMANN, COASTAL MANAGEMENT SPECIALIST D A T E 4/29[10 Signature:~ ~ If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER PART II- ENVIRONMENTAL ASSES-~ENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617,47 If yes. coordinate the review process and use the FULL EAF r'-j Yes r--iNo B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If no, a negative declaration may be superseded b another involved agency. J'--J Yes ~]VN o C COULD ACTION RESULT IN ANY AOVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING, (Answers may be handwritten, if legible) C1. Existing air quality. Surface or groundwater quality or quantity, noise levels, existing traffic patterns solid waste production or disposal potential for erosion, drainage or flooding problems! Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources: or community or neighborhood character? Explain briefly: C3. Vegetation of fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4, A community*s existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly, C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly, C0. Long term. snort term, cumulative, or other effects not identified in C1-C57 Explain briefly. C7 Other impacts (including Changes in use of either quantity or type of energy)? Explain briefly. D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CEA? J~J Yes J'--J No E. iS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? []Yes [] NO If Yes, explain briefly PART III- DETERMINATION OF SIGNIFICANCE (To be Completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with Its (a) setting (i.e. urban or rural), (b) probability of occurring; (c) duration; (d) irreversibility; (c) geographic scope; and (f) magnitude, if necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have boon identified and adequately addressed. If- question D of Part 11 was checked yes, the determination and significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. [] Check this box if you have identified one or more potentially large or significant adverse impa, cts which MAY occur. Then Proceed directly to the FULL EAF and/or prepare a positive declaration. [] Check this box it you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: I ltle ot Hespons~ble Ulhcer Signature of Preparer (If different from responsible officer) L)ate SUSAN CEBULSKI~ ARTHUR FARNBACH~ & PAUL FARNBACH, 2600 OLE JULE LANE, MATTITUCK FTgure 1. Looking north from Ole Jule Lane at existing dwelling and locations of proposed second-story addition (above); one-storyJ~tscia addition (le,[~); and porch addition (center righO. :VED Figure 2. LooMn~ northeast l~rom Ole Jule Lane at sabject dwelling and ad]acent lwo-slory dwell~tlg~tf gast.~, ~, BOARD OF APPEALS SUSAN CEBULSKI~ ARTHUR FARNBACH, & PAUL FARNBACH~ 2600 OLE JULE LANE~ MATTITUCK Figure 3. Looking south at rear of existing dwelling and locations of proposed second-story addition (above); deck (left); and one-story addltion (right). Figure 4. Looking southeast./kom bulkhead at subject dwelling attd adjacent two-story dwelling to east. OF APPEALS OFFICE LOCATION: Town Hall Annex 54375 State Rou~ 25 (cor~ Main Rd, & Youuga Ave.) Southold. NY 11971 MAIUNG ADDRESS: P,O, L"~x 1179 Southold. NY 11971 Telephone: 631 Fax: 681 7~5-S13~ LOCAL WATERFRONT REVITAI.17.~,TION PROGRAM TOWN OF SOUTHOLD To: Jim King, President Town of Southold Board of Trustees~ From: Mark Terry, Principal Planner.~''~ LWRP Coordinator Date: August 13, 2009 Re: Proposed Wetland Permit for SUSAN CEBULSKI, ARTHUR FARNBACH AND PAUL FARNBACH SCTM#1000-122-4-13 SUSAN CEBULSKI, ARTHUR FARNBACH AND PAUL FARNBACH requests a Wetland Permit to construct onto existing one-story, one-family dwelling a second-story addition over the existing first story (f~ remain), a covered pomh and steps, one-story fascia addition beneath proposed second-story, 2'X ~6' one-story addition, 5'X 10' second-story deck; construct a 13'X 26' wood deck and 5.5'X 8' steps in place of existing concrete patio and wood deck and steps to be removed; remove existing sanitary system and install relocated, upgraded sanitary system; and install a drainage system of drywells and public water service. Located: 2600 Die dule Lane, Maffituck. SCTM#122-4-13 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, It is my recommendation that the proposed action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of T~ustees shall consider this recommendation preparing its written determination regarding the consistency of the proposed action. Cc: Loft Hulse, Assistant Town Attorney BOARD OF APPEAL5 Town of Southold A. INSTRUCTIONS LWRP CONSISTENCY ASSESSMENT FORM Allapplicants for perm its* including T0wn of South01d agencies, shallcompletethisCCAF for proposed actions that are subject to the Town of Snuth01d Waterfront Consistency Review Law. This assessmentisintendedt0supplement0therinf0rmati0nusedbyaTown0fS0utholdagencyin m a k in g a d e t e r m in a ti0 n 0 f c 0 n s is t e n c y. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated us to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Tom). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus~ each answer must be explained in detail~ listing both supporting and non- suDoortin~ facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. SCTM# 122 A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. RECEIVED, DESCRIPTION OF SITE AND PROPOSED ACTION MAY 7 2010 4 13 PROJECT NAME Susan Cebulski, Arthur Fambach & Paul Fambach BOARD OF APPEALS The Application has been submitted to (check appropriate response): TownBoard ~ Planning Board[--] BnildingDept.[~-] BoardofTrustees[~ Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital ~] construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) [---] (c) Permit, approval, license, certification: [5~ Nature and extent of action: Conslzuct onto existing one-story, one-family dwelling a second-story addition over the existing first story (to remain), a covered porch and steps, a one-story fascia addition beneath the proposed second-story, a 2' x + 16' one-story addition, and a 5' x 10' second-story deck; construct +13' x 28' wood deck and 5.5' x 8' steps in place of existing concrete patio and wood deck and steps to be removed; remove existing sanitary system and install relocated, upgraded sanitary system; and install a drainage system of drywells and public water service, all as depicted on the site plan prepared by John C. Ehlers Land Surveyor, last dated July 15, 2009. Location of action: 2600 OLE JULE LANE, MATTITUCK Site acreage: 0.30 ACRE Present land use: IMPROVED RESIDENTIAL, ONE-FAMILY DWELLING Present zoning classification: R-40 If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Susan Cebulski, Arthur Farnbach & Paul Farnbach (b) Mailing address: C/O Susan Cebulski; 2600 Ole Jule Lane Mattituck, NY 11952 (c) Telephone number: Area Code 631-298-4622 MAY 7 2010 (d) Application number, if any: BOARD OF APPEALS Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ~ No [5~ If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. [--]Yes ~ No [~ Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria [---] Yes [-'-] No [~ Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section Ill - Policies Pages 6 through 7 for evaluation criteria Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria ~-~Yes ~] No [~ Not Applicable RECEIVED MAY 7 ZUlU RC~ARD OF APPEALS Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria [~ Yes [--] No [~ Not Applicable The project will result in a minimal increase of 230 square feet to lot coverage by impervious surfaces, which will be mitigated by 1) removal of a sanitary system located approximately 14 feet from the fronting bulkhead and installation of an upgraded, SCDHS-approved sanitary system located +/-93 feet farther landward; and 2) installation of a drainage system of drywells, leaders, and gutters to capture and recharge roof runoff. The existing 10', +/-820 s.f. nonturf buffer behind the bulkhead will also be maintained. Therefore, the project will be consistent with Policy 5. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. Yes ~] No [~ Not Applicable recommended setbacks, but the expansion of the dwelling proposed outside the existing structural footprint has been limited to 142 s.f. and without any additional encroachment on wetlands, with the exception of a set of access steps to the wood deck being constructed in place of the existing concrete patio. The project will be consistent with Policy 6 for these reasons and for the reasons described in relation to Policy 5 above (i.e., upgraded, relocated sanitary system; installation of drainage system; and maintenance of nonturf buffer); and due to project mitigation measures during construction, such as maintenance of a project-limiting fence and haybales to contain construction debris and disturbance, due to the presence of the functional, pre-1977 bulkhead, the project has been determined to be beyond the Tidal Wetlands jurisdiction of the NYS DEC. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. ~-~ Yes V~ No 71 Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. 71 Yes No 71 Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~-~ Yes ~ No ~ Not Applicable RECEIVED Attach additional sheets if necessary WORKING COAST POLICIES 'Policy 10. Protect Southold's Ocr-dependent uses and promote si~ suitable locations. See LWRP Section IH - Policies; Pages 47 through ~ Yes [--] No [~ Not Applicable of new water-dependent for evaluation criteria. uses in Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Pecouic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. [--~ Yes [--] No[~ Not Applicable b'~ ~ <~ f i ,'t 7 I o _I30ARD OF APPF.,~,!.Sc Attach additional sheets if necessary Policy 12. Protect agricultural lauds in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. 71 Yes 71 No [~ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. 7] Yes 7] No [~ Not Applicable PREPARED BY '~ ROBERT-Eq HERRMANN TITLE COASTAL MGMT SPECIALIST DATE 7/15/09 Amended on 8/1/05 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION I DEC PERMIT NUMBER 1-4738-03291/00002 fACILITY/PROGRAM NUMBER(S) P E R M IT Under the Environmental Conaervatlon Law TYPE OF PERMIT · New [] Renewal [3 Modification [3 Permit to Construct [3 Permit to Operate ~orrecma t;opy EFFECTIVE DATE December 4, 2009 · EXPIRATION DATE(S) November 17, 2014 ~] Article 15, Title 5: Protection of Waters E3 Article 15, Title 15: Water Supply [] Arlicle 15, Title 15: Water Transport E3 Article 15, Title 15: Long Island Wells [3 Article 15, Title 27: Wild, Scenic and Recreational Rivers [3 6NYCRR 608: Water Quality Certification PERMIT ISSUED TO Susan Cebulski & Paul Farnbach [] Article 17, Titles 7, 8: SPDES [] Article 19: Air Pollution Control [] Article 23, Title 27: Mined Land Reclamation [3 Article 24: Freshwater Wetlands · Article 25: Tidal Wetlands [] Article 27, Title 7; 6NYCRR 360: Solid Waste Management [3 Article 27, Title 9; 6NYCRR 373: Hazardous Waste Management [] Article 34: Coastal Erosion Management [] Article 36: Floodplain Management [] Articles 1, 3, 17, 19, 27, 37; 6NYCRR 380: Radiation Control TELEPHONE NUMBER (631) 298-4622 ADDRESS OF PERMITTEE CIO Susan Cebulski, 2600 Ole Jule Lane, Mattituck, NY 11952 CONTACT PERSON FOR PERMITTED WORK EnConsultants Inc., 1319 North Sea Road, Southampton, NY 11968 ITELEPHONE NUMBER (631) 283-6360 NAME AND ADDRESS OF PROJECT/FACILITY 2600 Die Jule Lane~ Mattituck SCTM # 1000-122-4-13 COUNTY Suffolk TOWN Southold WATERCOURSE I NYTM COORDINATES I James Creek DESCRIPTION OF AUTHORIZED ACTIVITY: Construct second story addition to existing single family dwelling. Construct 2' x 15.8' rear first story addition. Construct rear deck and front porch/steps. Remove existing concrete pad in rear yard. Replace existing septic system with new system located adjacent to Die Jule Lane. All work must be in accordance with the attached plans prepared by John Ehlers dated ]0-28-09and stamped NYSDEC approved 11/18/09. RECEIVED BOARD OF APPEALS By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified {see page 2 & 3) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: Susan V. Ack~rman ~ AUTHORIZ~G~ IADDRESS Region 1 Headquarters, SUNY ~ Stony BroOk, 50 Circle Road, Stony Brook~ NY 11790-3409 \% ¼ ~,.b~% Page I of 4 SPECIAL CONDITIONS 1. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work. 2. Any debris or excess material from construction of this project shall be completely removed from the adjacent area and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands or protected buffer areas. 3, The storage of construction equipment and materials shall be confined to the upland area landward of the bulkhead or on a barge. 4. A row of staked haybales or other approved erosion control devices shall be placed at the landward edge of the buffer area as per the NYSDEC approved plan, prior to commencement of any regulated activities and remain in place and in good, functional condition until the project is completed and all disturbed areas are stabilized with vegetation. 5. Disturbance to natural vegetation or topography greater than 25 feet seaward of the approved structure is prohibited. 6, Sanitary systems (bottom of the tank and leaching pools) shall be located a minimum of 2' above seasonal high groundwater. 7. Roof runoff shall be directed into dry wells a minimum of 50 linear feet landward of the tidal wetland bound'~ry for immediate on-site recharge. RECEIVED MAY '/ Z010 BOARD OF APPEALS DEC PERMIT NUMBER 1-4738-03291/00002 PAGE 2 of 4 ADDITIONAL GENERAL CONDa~ONS FOR ARTICLES 15 (TITLE 5), 24, ~1~4 AND 6NYCRR PART 608 ( TIDAL WETLANDS) If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove alt or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. There shall be no unreasonable interference with navigation by the work herein authorized. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any.portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration'. If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301,302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that ali of the conditions listed herein are met. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work and, if required, a survey. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved plans were prepared by: John Ehlers dated l 0-28-2009. BAY 7 2010 BOARD OF APPEALS DEC PERMIT NUMBER PAGE 3 of 4 1-4738-03291/00002 N~W YOhtK aTATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION NOTIr~i~TION OF OTHER PERMITTEE OBLIG/I~I~NS 'Item A: Permittee Accepts Legal~sponsibllity and Agrees to Indemnlflca~ The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and dam ages, to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittea's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for,Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. GENERAL CONDITIONS General Condition 1: Facility Inspection by the Department BOA~,D APPEALS The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the )ermittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71-0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy Of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. General Condition 2: Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for renewal, modification or transfer of this )ermit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, SUNY @ Stony Brook, 50 Circle Road, Stony Brook, NY 11790-3409 General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Department reserves the dght to modify, suspend or revoke this permit in accordance with 6 NYCRR Part 621. The grounds for modification, suspension or revocation include: a) materially false or inaccurate statements in the permit application or supporting papers; b) failure by the permittee to comply with any terms or conditions of the permit; c) exceeding the scope of the project as described in the permit application; d) newly discovered matedal information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e) noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. DEC PERMIT NUMaER 1-4738-03291/00002 PAGE 4 OF 4 ,5,URVE'r' OF PROPER'FT' .51TUATE, MATTITUC.,K I,,Ig5"09' 40"I~, g&00' PALE PINE ~AN~ t:~.OOF: (PF4ELL._IN~) It~O~X LOf CO¥~RAGE BLJJL~.~LE LAND James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 August19,2009 Mr. Robert E. Herrmann En-Consultants, Inc. 1319 North Sea Road Southampton, NY 11968 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD p RE: SUSAN CEBULSKI, ARTHUR FARNBACH & PAUL FARNBACH 2600 OLE JULE LANE, MATTITUCK SCTM# 122-4-13 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 19, 2009 regarding the above matter: WHEREAS, En-Consultants, Inc. on behalf of SUSAN CEBULSKI, ARTHUR FARNBACH & PAUL FARNBACH applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated July 20, 2009, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on August 19, 2009, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of SUSAN CEBULSKI, ARTHUR FARNBACH & PAUL FARNBACH to construct onto existing one-story, one- family dwelling a second-story addition over the existing first story (to remain), a covered porch and steps, one-story fascia addition beneath proposed second-story, 2'x16' one-story addition, construct a 13'x28' wood deck and 5.5'x8' steps in place of existing concrete patio and wood deck and steps to be removed; remove existing sanitary system and install relocated, upgraded sanitary system; and install a drainage system of drywells and public water service, and as depicted on the survey prepared by John C. Ehlers Land Surveyor, October 28, 2009, and received on November 2, 2009. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $100.00 Very truly yours, President, Board of Trustees BOARD OF APPt=-AU'c~ JFK/eac BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERM1T NO. 7158 DATE: AUGUST 19~ 2009 ISSUED TO: SUSAN CEBULSKI~ ARTHUR FARNBACH & PAUL FARNBACH PROPERTY ADDRESS: 2600 OLE JULE LANE, MATTITUCK SCTM# i22-4-13 AUTHORIZATION BOARD OF Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on August 19, 2009, and in consideration of application fee in the sum of $250.00 paid by Susan Cebulski, Arthur Farnback & Paul Famback and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct onto existing one-story, one-family dwelling a second-story addition over the existing first story (to remain), a covered porch and steps, one-story fascia addition beneath proposed second-story, 2'x16' one-story addition, construct a 13'x28' wood deck and 5.5'x8' steps in place of existing concrete patio and wood deck and steps to be removed; remove existing sanitary system and install relocated, upgraded sanitary system; and install a drainage system of drywells and public water service, and as depicted on the survey prepared by John C. Ehlers Land Surveyor, October 28, 2009, and received on November 2, 2009. 1N WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. 5URVE'r' OF PROPERTY' 51TUATE.. HATTITU~K TOPtN: 5UI'-rOLK cT~UNT'r', N'r' I000 - 122 - 4 - I~Land~ o~ ~uF~olk 0.5' ~L- i SANIP¥ LOAM s ~ I SANO TOWN qOLD ROOF (D~E~LLIN~) 6RAPHIC. ~< LOT C©V~3~J~GE SOUTHOLD TRUST S~ ~.d~. ~d-d~,, ~ri~r Date ~/,~/~~~; Issued To~ b ~p ' ' Address O * THIS NOTICE MUST BE .DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD RECETVED 'SOUTHOLD, N.Y. 11971 MAY ? solo TEL.: 765-1892 BOARD OF APPEALS DEPARTMENT OF HEALTH SERVICES COUNTY OF SUFFOLK STEVE LEVY SUFFOLK COUNTY EXECUTIVE PERMIT HUMAYUN J. CHAUDHRY, D. O., M.S. COMMISSIONER The attached plan, when duly signed by a representative of the Depm'tment, constitutes a permit to construct a water supply and/or collection system for the property as depicted. The applicant should take note of any conditions of approval, which may be indicated on the plan or enclosed herein. Construction must conform with applicable standards including "Standards for Approval of Plans and Construction for Sewage Disposal Systems for Single Family Residences" and "Standards and Procedures for Private Water Systems." Omissions, errors or lack of details on the plan does not release the applicant from the responsibility of having the construction done in conformance with applicable standards. The permit (plan) expires three (3) years after the approval date. Any modifications which may affect the proposed sewage disposal or water supply systems requires submission of a revised plan and additional fees (if applicable) for reapproval prior to construction. No inspections will be performed by the Department on expired permits. Permits may be renewed, extended, transferred or revised in accordance with the procedures described in "Submission Requirements for Approval of Sewage Disposal and Water Supply Facilities for Single Family Dwellings" (Form WWM-041). It is the applicant's responsibility to call the department at 852-5754, in advance, to arrange inspections of the sewage disposal .and/or water supply facilities prior to backfilling. These include inspections of the sewage collection and disposal systems, water supply system components and piping, and final grading as shown on the approved plans. In certain cases, inspections of the soil excavation may be required to determine the acceptability of the soils for sewage disposal systems. The Department must be notified at least 24 hours in advance to schedule an inspection and excavation inspections must be confirmed by calling 852-5700 prior to 9:30 A.M., the morning of the inspection. Article gll of the Suffolk County Code, "Septic Industry Businesses," requires that all installers qf sept/c systems within Suffolk County shah possess a valid license from the Suffolk County Office of Consumer Affairs. This office can refuse to perform inspections or grant final approval for the construction of projects that are installed by an unlicensed individual. It is, therefore, in your best interest to utilize a cesspool contractor with a valid license to avoid substantial delays in your project. FINAL APPROVAL ISSUED BY THE DEPARTMENT IS NECESSARY PRIOR TO THE OCCUPANCY OF NEW BUILDINGS, ADDITIONS TO EXISTING BUILDINGS, OR FOR THE USE OF SEWAGE DISPOSAL OR WATER SUPPLY SYSTEMS. RECEIVED WWM-058 (REV. 3/07) BOARD OF APPEALS PAGE 1 OF 2 *OIVISION OF ENVlROKIMEHTAL GUALIT~eOFFtCE OF WASTEWATER BANAGEMENTeM0 YAPHANK AVENUE, SUITE 2C<,YAPHANK NY 11980~ PHONE: (~31) ~2-5'/00 FAX: (631) ~,2-5755 .$UtP.'v'E'r' OF PROPFRT"r' 51TUATE.' HATTI'TUC, K 'rOl~N.. 5Urt-OLK COUNT'r, N~ 5URVE'rED ~UFFOLK ~NI~ TAX # I000 - 122 - 4 - I~Lond RECE~'¥ED BOARD OF APPEALS ' FINE 5ANI2 a~o s~°s~ ~P-,~PHIC. 5(-.ALI= I"= 20' /0 PROFILE Scale 1" = $ ' TEST HOLE Elevation 9.0 (approx.) 0 - 0.5 Dark brown sandy loana (OL) 0.5 - 3 Brown silty sand (SM) 3 - 8.7 Pale brown sand (SP) 8.7 - 17 Water in pale brown fine sand (SP) I~AY 7 2010 BOARD OF APPEALS CEBULSKI RESIDENCE PROPOSED SEWAGE DISPOSAL SYSTEM Mattituck, New York SCTM # 1000-122-4-13 February 19, 2009 SAG HARBOR ENGINEERING PO Box 1991, Sag Harbor, NY 631-725-0868 OF SOU,THOLD PROPERTY RECORD CARD VILLAGE /'51~ 7"7-i F_ SFAS. DISTRICT RUB. ACREAGE TYPE OF BUILDING VL FARM COMM. IND. I CB. IMP. TOTAL /9ooP DATE RENLARKS MISC. J c//oO J?,.5'oo j AGE NEW Farm Tillable 1 T~llCble Tillable, 3 Woodlc~d SwampIand Brushland House Plot Total"'"" ~ NORMAL L BELOW Acre Value Per Acre BUILDING CONDIT]ON ABOVE Value LOT M. Bldg. Extension Extension E, ctens]on ,2: ~,~! ..~.:~ ~' Foundation ,? "" Basement Ext. W~lls Fire Place ¢/ / Porch Porch Bath Floors Interior Finish Heat Attic Rpoms 1st Floor Rcoms 2nd Floor ELIZABETH A. NEVILLE, RMC, CMC TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: FROM: DATED: RE: Southold Town Zoning Board of Appeals Elizabeth A. Neville May 11, 2010 Zoning Appeal No. 6398 Transmitted herewith is Zoning Appeals No. 6398 of En-Consultants~ Inc. for Susan Cebulski~ Arthur Farnbach & Paul Franbach - the Application to the Southold Town Zoning Board of Appeals. Also enclosed is the Applicant's Project Description, Questionnaire, Transactional Disclosure Form, Agricultural Data Statement, Authorization Letter from Susan Cebulski to En-Consultants, Inc. to Represent them in this Matter, Transactional Disclosure Form, Cover Letter from En-Consultants, Inc. Dated April 29, 2010, Short Environmental Assessment Form, 3 Pages of Photos of Property, Notice of Disapproval from Building Department Amend Date May 7, 2010, Notice of Disapproval from Building Department Dated April 9, 2010, Letter from LWRP Dated August 13, 2009, NYS DEC Permit #1-4738- 03291/00002 December 4, 2009, Board of Town Trustees Permit #7158 Dated August 19, 2009, Suffolk County Health Department Cesspool Permit R10-09-0046, 2 Pages of Property Record Card, Copy of Survey Showing Proposed Construction Dated April 6, 2010 Prepared by John C. Ehlers, Land Surveyor, Copy of Plans Showing Section D-D Dated April 30, 2010 Prepared by Mark K. Schwartz, AIA. Town of Southold P.O Box 1179 Southold, NY 11971 Date: 05/07/10 * * * RECEIPT * * * Receipt#: 79379 Transaction(s): 1 1 Application Fees Reference Subtotal 6398 $600.00 Check#: 9496 Total Paid: $600.00 Name: En-consultants, Inc. 1319 North Sea Drive Southampton, NY 11968 Clerk ID: CAROLH Internal ID: 6398 Office Location: Town Annex/First Floor, Capital One Bank 54375 Main Road (at Youngs Avenue) Southold, NY 11971 Mailing Address: 53095 Main Road P.O. Box 1179 Southold, NY 11971-0959 http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 Fax (631) 765.9064 May 10, 2009 Mark Terry, Principal Planner LWRP Coordinator Planning Board Office Town of Southold Town Hall Annex Southold, NY 11971 Re: ZBA File Ref. No. # 6398 S. Cebulski Dear Mark: We have received an application for additions and alterations to a single family dwelling. A copy of the Building Inspector's Notice of Disapproval under Chapter 280 (Zoning Code), and survey map, project description form, are attached for your reference. Your written evaluation with recommendations for this proposal, as required under the Code procedures of LWRP Section 268-5D is requested within 30 days of receipt of this letter. Thank you. Very truly yours, Encls. Leslie~. Weisman Office Location: Town Annex/First Floor, Capital One Bank 54375 Main Road (at Youngs Avenue) Southold, NY 11971 Mailing Address: 53095 Main Road P.O. Box 1179 Southold, NY 11971-0959 http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 Fax (631) 765-9064 May 7, 2010 Mr. Thomas Isles, Director Suffolk County Department of Planning P.O. Box 6100 Hauppauge, NY 11788-0099 Dear Mr. Isles: Please find enclosed the following application with related documents for review pursuant to Article XIV of the Suffolk County Administrative Code: ZBA File ~398 Action Requested: Within 500 feet of: Owner/Applicant: Cebulski, Farnbach & Farnbach Setbacks ( ) State or County Road (X) Waterway (Bay, Sound, or Estuary) ( ) Boundary of Existing or Proposed County, State, Federal land. ( ) Boundary of Agricultural District ( ) Boundary of any Village or Town If any other information is needed, please do not hesitate to call us. Thank you. Very truly yours, Leslie K. VVeisman ZBA Chairperson By: ~ ~r.~_ Encls. TO~IN GF NOTICE COUNTY OF SUFFOLK (~) ~ed Property Tax Service Agency Count*j Ce~twr ~:n~rhaa~ # ¥ ~ 2 ,m,,w SOUTHOLD SECTION NO 122